As we discussed earlier this week, Oregon’s Joint Ways and Means Committee Co-Chairs released a Targeted Reduction List at the end of April, which outlined a more detailed proposal for reducing costs to the 2017-2019 budget. Our legislative leaders have been warning us for months now that, without new sources of revenue, there will be cuts. The Targeted Reduction List proposes to change Oregon’s IDD Service Eligibility criteria in two significant ways. Please note that no substantial changes to eligibility can be undertaken quickly. Any changes, including those discussed below, must be negotiated with our federal contacts at the Centers for Medicaid and...

We have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. Today, we believe that more change is necessary if Oregon is to regain a functional, sustainable structure for IDD services. In our last post, we talked about the series of changes that reshaped the landscape for intellectual and developmental disability (IDD) services in Oregon. From the summer of 2013 until the close of 2015, we were taking on new processes, new...

We have talked a lot about the series of policy changes back in late 2013 that resulted in the statewide Community First Choice K Plan, in consolidating services and payment into the eXPRS Plan of Care, and the rise of the Adult Needs Assessment as a primary point of departure for service planning and funding. The entire system still struggles to find equilibrium in the wake of such wholesale change. Equity in service allocations, rates of pay, and time spent on face-to-face services vs. paperwork has been disrupted due to choices made during the implementation of these policies. Today, we believe that more change is necessary if Oregon is to regain a functional,...

Nearly one year ago, the Oregon Support Services Association shared our February 2015 Vision for the Future of Disability Services in Oregon. It was meant to be a comprehensive look at what we want for our service system, with ideas about how we might get there. While the ultimate vision hasn’t changed substantially, the ideas for how we get there have been refined to fit a January 2016 understanding of the world. Click here to view the OSSA Vision For the Future of Disability Services in Oregon, January 2016. As OSSA President Larry Deal and I reviewed our vision one year in, we were both struck by how much the IDD field has learned over the past 12 months. We...

When it comes to full lives for Oregonians with intellectual and developmental disabilities, we want it all. As a member of the Oregon I/DD Coalition, OSSA helped to identify four top priorities for the 2015 legislative budgeting session. These four priorities, together, represent a pathway to richer lives for Oregonians with I/DD. The four priorities are: DSP Wages: Raise the wage for Direct Support Professionals. Brokerage and CDDP Workload Model Budget: Fund workload model at proposed 95% equity for CDDPs and Brokerages. Fairview Trust: Keep the promise of community housing opportunities for people with IDD and restore the Fairview Trust. Employment: Continue...

Sometimes, in the midst of change, it is hard to see the way forward. Oregon’s system of services to people with intellectual and developmental disabilities once felt like it had a clear identity as a national leader for progressive, community-based service. We closed down institutions. We gave control to the people using the services. We showed that giving people self-determination can not only be right, it can also be cost-effective, good business. Somewhere, in the crush of change and hurtling, forward momentum, we have lost the clarity of that identity. Now is the time to work to reclaim that pioneering spirit at the heart of our state. Make no mistake,...